Ravi Rao Andukuri, MS, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

28RI03316600 Issued in NJ

Practice address

461 RT 10
Suite A100
Ledgewood, NJ 07852

Phone

(973) 598-4087

NPI assigned

Sep 27, 2019

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Mr. Ravi Andukuri Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science, Registered Pharmacist

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1569542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621382400000",
    "number": "1356992671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "461 RT 10",
            "address_2": "SUITE A100",
            "city": "LEDGEWOOD",
            "state": "NJ",
            "postal_code": "07852",
            "telephone_number": "973-598-4087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "461 RT 10",
            "address_2": "SUITE A100",
            "city": "LEDGEWOOD",
            "state": "NJ",
            "postal_code": "07852",
            "telephone_number": "973-598-4087"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "40 International Dr S",
            "address_purpose": "LOCATION",
            "city": "Flanders",
            "state": "NJ",
            "postal_code": "078364106",
            "country_code": "US",
            "telephone_number": "973-347-8060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDUKURI",
        "first_name": "RAVI",
        "middle_name": "RAO",
        "name_prefix": "Mr.",
        "credential": "MS, RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-09-27",
        "last_updated": "2021-05-19",
        "certification_date": "2021-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI03316600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RAVI",
            "last_name": "ANDUKURI",
            "prefix": "MR.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Pharmacist in Ledgewood, NJ
• Providers in Ledgewood, NJ by specialty
• Pharmacist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.